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CHART N0. <br /> :reH <br /> r � T'-6-Ze-s <br /> s�,,,•r <br /> i.ity o( Everett �.�� ('.✓.C,�'�i�>Cs 3�3/<:c• <br /> Sewer Application and Permit <br /> NO. 25173 DATE Julr 9. 1985 � <br /> — .» <br /> � <br /> m <br /> Service Address� 67Y4 �Y 1� Utility Account No. <br /> «,.» <br /> Billing Address_ 6307 Gdy lio�d Permit Fee__ i�0.00 ~ � <br /> „ _ <br /> � z <br /> Ciry, State, Zip �tC, IfA 98207 Connection Chargels) i600.00 �m <br /> mqq <br /> Owner (Mortgrgor� � d�l�l Total Fee i�0.00 a� <br /> t�f <br /> Billing Name � �v�1 B�wr D�wlopmsnL !'e� �� <br /> Otdinane� 98�-8] d800.00 m <br /> Connection By «=+ad ���u� c� <br /> � x <br /> F�Odress_ S7]1 143ed Pl 8M_ Signed._ � '� �-. �� <br /> c���o��, - �n <br /> Phone_ <br /> 7��-5891 $�� <br /> DESCRIPTIOPJ: Sewer District �"' <br /> Lot_ 78 Blor,k o� <br /> Plat Monthly Sewer Service _ �y <br /> � <br /> Unplatted Description Monthly Sewer Constr. y� <br /> • m <br /> Type Permit: Trunk I10.00 � <br /> --Iw�v �bnn�ation .i <br /> x <br /> Lateral_ �f90.00 = <br /> Remarks: . —� <br /> � <br /> Abutting Lot Line i N <br /> — N, S, E, W_ ft. Z <br /> 0 <br /> � <br /> ... <br /> � � <br /> m <br /> _ — Approved By.��y� �,��y I <br /> ��v �o���m <br /> I <br /> Issuecl By�_��t lloL�od <br /> I <br /> — I <br /> InspectianBy_�• ��6e��^A� <br /> _ Datelnspected ��" � ' Y� i <br /> SEE SKETCH ATTACHED N�• ZS1T3 i <br /> � <br /> INSPECTION � <br />